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Symptoms Mimicking Periprosthetic Infection Following Prosthetic Breast Reconstruction

Journal of Surgical Infection 2020년 5권 1호 p.16 ~ 22
Lee Sang-Keon, 이동원,
소속 상세정보
 ( Lee Sang-Keon ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery
이동원 ( Lee Dong-Won ) - Yonsei University College of Medicine Department of Plastic and Reconstructive Surgery

Abstract


Objectives: Periprosthetic infection in prosthetic breast reconstruction remains a perplexing complication that usually leads to devastating results such as loss of implant. Therefore, we cannot overemphasize the importance of accurate diagnosis of periprosthetic infection, as misdiagnosis can cause destruction of reconstruction. The purpose of this study was to investigate cases that were initially mimicking periprosthetic infection.

Methods: We conducted a retrospective analysis of consecutive prosthetic breast reconstructions in single institution. All patients who was thought to have a periprosthetic infection on the basis of symptoms such as fever, warmth, erythema and tenderness on the affected breast, were selected first. Medical records of these patients were reviewed for distinguishing whether the infection was true or not.

Results: Among 346 patients with prosthetic breast reconstructions, 8 patients were diagnosed with periprosthetic infection, while 5 patients with cellulitis were identified. The symptoms mimicking periprosthetic infection were cellulitis, herpes zoster, red breast syndrome, chemotherapy induced febrile neutropenia, and pseudomembranous colitis, and showed different clinical manifestations from periprosthetic infection.

Conclusion: The cases mimicking periprosthetic infection can be misdiagnosed, which leads to longer hospitalization period or unnecessary surgical procedures. This study provides surgeons with tools to aid in the discrimination of above-mentioned diagnoses from true periprosthetic infection.

키워드

Breast reconstruction; Prostheses and implants; Surgical wound infection

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